Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 28 , ISSUE 12 ( December, 2024 ) > List of Articles

Original Article

Critical Care Nurses’ Knowledge on Prevention of Ventilator-associated Pneumonia: A Cross-sectional Study

Sae d M El-Kass, Heshmah A Alruwili, Musherh A Alrowily, Osama M Ellayan, Lama M El-Kass, Eman E Hijo, Asmaa A El-Bhtety, Reneh M Abusnan, Zahraa A Aljundy, Dina A Sehweil, Marah A El-Ghorra, Eman A Elhaweet

Keywords : Critical care, Nurses’ knowledge, Ventilator-associated pneumonia

Citation Information : El-Kass SM, Alruwili HA, Alrowily MA, Ellayan OM, El-Kass LM, Hijo EE, El-Bhtety AA, Abusnan RM, Aljundy ZA, Sehweil DA, El-Ghorra MA, Elhaweet EA. Critical Care Nurses’ Knowledge on Prevention of Ventilator-associated Pneumonia: A Cross-sectional Study. Indian J Crit Care Med 2024; 28 (12):1122-1129.

DOI: 10.5005/jp-journals-10071-24854

License: CC BY-NC 4.0

Published Online: 30-11-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Background: This study aims to assess the knowledge of Palestinian critical care nurses regarding the prevention of ventilator-associated pneumonia (VAP), an acquired infection that affects critically ill patients on ventilators in hospitals. Nurses caring for these patients may not always be aware of the most effective methods to prevent VAP. Materials and methods: A descriptive cross-sectional study was conducted in five government hospitals in Gaza Strip, Palestine over 3 months. A convenience sample technique (72) of critical care nurses was selected. Data were collected through a self-administered questionnaire divided into; demographic characteristics and knowledge about critical care nurses of preventive interventions for VAP. Statistical analysis was performed using SPSS version 25. Results: More than half of the critical care nurses (67%) were male and the majority of critical care nurses (63%) were aged between 20 and 29 years. Furthermore, 32% of critical care nurses were from Alshifa Medical Complex. The overall mean knowledge among critical care nurses to prevent VAP was 72%, indicating correct answers to knowledge-related queries. Conclusion: Our study indicated that the knowledge of critical care nurses about VAP prevention was inadequate. Age, marital status, and years of experience were significantly associated with a good level of knowledge about the prevention of VAP (p < 0.05). However, there was no significant association between knowledge about VAP prevention of VAP and gender, qualification level, and type of intensive care unit (ICU).


PDF Share
  1. Torres A, Niederman MS, Chastre J, Ewig S, Fernandez-Vandellos P, Hanberger H, et al. International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia: Guidelines for the management of hospital-acquired pneumonia (HAP)/ventilator-associated pneumonia (VAP) of the European Respiratory Society (ERS), European Society of Intensive Care Medicine (ESICM), European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and Asociación Latinoamericana del Tórax (ALAT). Eur Respir J 2017;50(3):1700582. DOI: 10.1183/13993003.00582-2017.
  2. Kuroiwa R, Tateishi Y, Oshima T, Inagaki T, Furukawa S, Takemura R, et al. Mechanical insufflation-exsufflation for the prevention of ventilator-associated pneumonia in intensive care units: A retrospective cohort study. Indian J Crit Care Med 2021;25(1):62–66. DOI: 10.5005/jp-journals-10071-23508.
  3. Selamat N, Aung K, Soe M. Critical care nurses’ knowledge and practices on ventilator-associated pneumonia. Int Arch Nurs Health Care 2021;7(3):163. DOI: 10.23937/2469-5823/1510163.
  4. Martin-Loeches I, Rodriguez AH, Torres A. New guidelines for hospital-acquired pneumonia/ventilator-associated pneumonia: USA vs. Europe. Curr Opin Crit Care 2018;24(5):347–352. DOI: 10.1097/MCC.0000000000000535.
  5. Dakshinamoorthy S. Compliance of infection control vap bundle in critical care unit nurses in tertiary care hospital at Chennai. Int J Nurs Educ 2018;10(1):121–143. DOI: 10.5958/0974-9357.2018.00 024.7.
  6. Martin-Loeches I, Povoa P, Rodríguez A, Curcio D, Suarez D, Mira JP, et al. Incidence and prognosis of ventilator-associated tracheobronchitis (TAVeM): a multicentre, prospective, observational study. Lancet Res Med 2015;3(11):859–868. DOI: 10.1016/S2213-2600 (15)00326-4.
  7. Sanaie S, Rahnemayan S, Javan S, Shadvar K, Saghaleini SH, Mahmoodpoor A. Comparison of closed vs open suction in prevention of ventilator-associated pneumonia: A systematic review and meta-analysis. Indian J Crit Care Med 2022;26(7):839–845. DOI: 10.5005/jp-journals-10071-24252.
  8. Patil HV, Patil VC. Incidence, bacteriology, and clinical outcome of ventilator-associated pneumonia at tertiary care hospital. J Nat Sci Biol Med 2017;8(1):46–55. DOI: 10.4103/0976-9668.198360.
  9. Ranjit S, Bhattarai B. Incidence and risk factor for ventilator-associated pneumonia in Kathmandu University Hospital. Kathmandu Univ Med J (KUMJ) 2011;9(33):28–31. DOI: 10.3126/kumj.v9i1.6258.
  10. He Q, Wang W, Zhu S, Wang M, Kang Y, Zhang R, et al. The epidemiology and clinical outcomes of ventilator-associated events among 20,769 mechanically ventilated patients at intensive care units: an observational study. Crit Care 2021;25(1):44. DOI: 10.1186/s13054-021-03484-x.
  11. Fu Y, Luo Y, Grinspan AM. Epidemiology of community-acquired and recurrent Clostridioides difficile infection. Therap Adv Gastroenterol 2021;14(1):1–11. DOI: 10.1177/17562848211016248.
  12. Kanj S, Kanafani Z, Sidani N, Alamuddin L, Zahreddine N, Rosenthal V. International nosocomial infection control consortium findings of device-associated infections rate in an intensive care unit of a lebanese university hospital. J Glob Infect Dis 2012;4(1):15–21. DOI: 10.4103/0974-777X.93755.
  13. Galal YS, Youssef MR, Ibrahiem SK. Ventilator-associated pneumonia: Incidence, risk factors and outcome in paediatric intensive care units at Cairo University Hospital. J Clin Diagn Res 2016;10(6):6–11. DOI: 10.7860/JCDR/2016/18570.7920.
  14. Ruzieh M, Al-Ardeh M, Nazzal Z. Incidence and risk factors of ventilator-associated pneumonia (VAP) in Palestine Hospitals. J Biometr Biostat 2013;4(2):625. DOI: 10.4172/scientificreports.625.
  15. Aljeesh Y, Al Madhoun W, Abu Shamh I, Arcaya M. Assessment of indoor air quality in neonatal intensive care units in government hospitals in Gaza Strip, Palestine. Public Health Res 2016;6(1):24–30. DOI: 10.5923/j.phr.20160601.03.
  16. Albassam A, Alshammari S, Ouda G, Koshy S, Awad A. Knowledge, perceptions and confidence of physicians and pharmacists towards pharmacogenetics practice in Kuwait. Erratum in: PLoS One 2019;14(2):e0212118. DOI: 10.1371/journal.pone.0212118.
  17. Labeau S, Vereecke A, Vandijck DM, Claes B, Blot SI. Executive board of the Flemish Society for Critical Care Nurses. Critical care nurses’ knowledge of evidence-based guidelines for preventing infections associated with central venous catheters: an evaluation questionnaire. Am J Crit Care 2008;17(1):65–71. DOI: 10.4037/ajcc2008.17.1.65.
  18. Lin HL, Lai CC, Yang LY. Critical care nurses’ knowledge of measures to prevent ventilator-associated pneumonia. Am J Infect Control 2014;42(8):923–925. DOI: 10.1016/j.ajic.2014.05.012.
  19. Getahun AB, Belsti Y, Getnet M, Bitew DA, Gela YY, Belay DG, et al. Knowledge of intensive care nurses’ towards prevention of ventilator-associated pneumonia in North West Ethiopia referral hospitals, 2021: A multicenter, cross-sectional study. Ann Med Surg 2022;78(4):103895. DOI: 10.1016/j.amsu.2022.103895.
  20. Ahmed Abdelsttar N, Hussin Nasr M, Fathy Mahmoud S. Assessment of nursing performance toward infection control measures for mechanically ventilated patients. Egyp. J Health Care 2022;13(3):432–445. DOI: 10.21608/ejhc.2022.252383.
  21. Ghimire S, Neupane S. Hospital, Rupandehi, Nepal. J Univ Col Med Sci 2018;6(1):17. DOI: 10.3126/jucms.v6i1.21721.
  22. Al-jaradi AFSM. Knowledge and practice of intensive care unit nurses toward prevention of ventilator-associated pneumonia at Public Hospitals in Sana'a City-Yemen: Al-Razi Univ J Med Sci 2019;3(2):40–52. DOI: 10.51610/RUJMS4.1.2020.80.
  23. Al-Sayaghi KM. Critical care nurses’ compliance and barriers toward ventilator-associated pneumonia prevention guidelines: Cross-sectional survey. J Taibah Univ Med Sci 2020;16(2):274–282. DOI: 10.1016/j.jtumed.2020.12.001.
  24. Aloush SM, Al-Rawajfa OM. Prevention of ventilator-associated pneumonia in intensive care units: Barriers and compliance. Int J Nurs Pract 2020;26(5):e12838. DOI: 10.1111/ijn.12838.
  25. Yeganeh M, Yekta H, Farmanbar R, Khalili M, Khaleghdoost T, Atrkar Roushan Z. Knowledge of evidence-based guidelines in ventilator-associated pneumonia prevention. J Evid Based Med 2019;12(1):16–21. DOI: 10.1111/jebm.12188.
  26. Madhuvu A, Endacott R, Plummer V, Morphet J. Nurses’ knowledge, experience and self-reported adherence to evidence-based guidelines for prevention of ventilator-associated events: A national online survey. Intensive Crit Care Nurs 2020;59:102827. DOI: 10.1016/j.iccn.2020.102827.
  27. Abo Elseoud A, AboSerea MM, Abed El Razek G, Hussein S. An interventional study for reducing ventilator-associated pneumonia in surgical intensive care unit, Zagazig University Hospitals. Int J Curr Microbiol App Sci 2016;5(2):202–214. DOI: 10.20546/ijcmas.2016.502.023.
  28. Ciampoli N, Bouchoucha S, Currey J, Hutchinson A. Evaluation of prevention of ventilator-associated infections in four Australian intensive care units. J Infect Prev 2020;21(4):147–154. DOI: 10.1177/1757177420908006.
  29. Busi S, Ramanjamma K. Effectiveness of structured teaching programme on level of knowledge and practices regarding prevention of ventilator-associated pneumonia among critical care nurses of NRI General Hospital, Guntur, A.P., India. Int J Adv Nurs Manag 2016;4(2):125–129. DOI: 10.5958/2454-2652.2016.00028.7.
  30. El-Khatib MF, Zeineldine S, Ayoub C, Husari A, Bou-Khalil PK. Critical care clinicians’ knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia. Am J Crit Care 2010;19(3):272–276. DOI: 10.4037/ajcc2009131.
  31. Tafere TZ, Belachew TB, Feleke DG, Adal GM. Assessment of knowledge and practice of nurses regarding infection prevention and associated factors at Debre Tabor Comprehensive Specialized Hospital, Northwest Ethiopia. Front Public Health 2024;11:1225570. DOI: 10.3389/fpubh.2023.1225570.
  32. Akın Korhan E, Hakverdioğlu Yönt G, Parlar Kılıç S, Uzelli D. Knowledge levels of intensive care nurses on prevention of ventilator-associated pneumonia. Nurs Crit Care 2014;19(1):26–33. DOI: 10.1111/nicc. 12038.
  33. Aloush SM, Qadire MIA. Student nurses’ knowledge about prevention of ventilator-associated pneumonia. Int J Nurs Educ 2017;9(2):138–143. DOI: 10.5958/0974-9357.2017.00051.4.
  34. Mannava Y, Nayak SU, Uppoor A, Naik D, Maddi A. Knowledge, attitude and oral care practices for preventing ventilator-associated pneumonia among critical care nurses - A questionnaire study. Indian J Dent Res 2020;31(3):426–432. DOI: 10.4103/ijdr.IJDR_611_16.
  35. Wilson JL. The impact of shift patterns on healthcare professionals. J Nurs Manag 2002;10(4):211–219. DOI: 10.1046/j.1365-2834.2002.00308.x.
  36. Sahin ZA, Ozdemir FK. Examination of the tendency of nurses to make medical errors and the affecting factors. J Educ Res Nurs 2015;12(3):210–214. DOI: 10.5222/HEAD.2015.210.
  37. Botros SS, Mohamed MA, Ahamed NA. Assess nursing practice regarding safety measures on mechanically ventilated patients. Assiut Sci Nurs J 2019;7(19):48–57. DOI: 10.21608/asnj.2019.69572.
  38. Karaca A, Arslan H. A study for evaluation of patient safety culture in nursing services. J Health Nurs Manag 2014;1(1):9–18. DOI: 10.5222/SHYD.2014.009.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.